Florida Blue Coverage for Ozempic
16 Plans
16 Plans
Commercial - PPO
$$$$$Preferred
PA requirements
Step therapies
Quantity Limit
Commercial - Employer
$$$$$Preferred
PA requirements
Step therapies
Quantity Limit
Commercial - HMO
$$$$$Preferred
PA requirements
Step therapies
Quantity Limit
Health Exchange - PPO-HIX
$$$$$Preferred
PA requirements
Step therapies
Quantity Limit
Health Exchange - POS-HIX
$$$$$Preferred
PA requirements
Step therapies
Quantity Limit
Medicare - PDP
$$$$$Preferred
PA requirements
Step therapies
Quantity Limit
Medicare - MA-PD
$$$$$Preferred
PA requirements
Quantity Limit
Health Exchange - HMO-HIX
$$$$$Preferred
PA requirements
Step therapies
Quantity Limit
Commercial - PPO
$$$$$Non-preferred
PA requirements
Step therapies
Commercial - Employer
$$$$$Non-preferred
PA requirements
Step therapies
Commercial - HMO
$$$$$Non-preferred
PA requirements
Step therapies
Health Exchange - PPO-HIX
$$$$$Non-preferred
PA requirements
Step therapies
Health Exchange - POS-HIX
$$$$$Non-preferred
PA requirements
Step therapies
Medicare - PDP
$$$$$Not covered
Medicare - MA-PD
$$$$$Not covered
Health Exchange - HMO-HIX
$$$$$Non-preferred
PA requirements
Step therapies
Alternative Drug Suggestions